Vidayathil, Vincent Joseph
Vidayathil, Vincent Joseph is an individual health care provider with primary practice located at 6 Liberty Square , Stony Point NY 10980-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vidayathil, Vincent Joseph can be contacted via phone (845) 786-1788.Contact Information
Primary practice address
6 Liberty Square
Stony Point NY 10980-2400
Phone: (845) 786-1788
Fax: (845) 786-5229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 144604 | New York |
Profile Details
| NPI number | 1982703633 |
|---|---|
| LBN Legal business name | Vidayathil, Vincent Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982703633 | NPPES |
| New York | MEDICAID | 01324510 |
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